ADT-OH promotes mitophagy and suppresses the cytosolic mtDNA-cGAS-STING inflammatory cascade in microglia

Xiao-Ou Hou1,2, Miao Wang2, Rong Deng1,2

  • 1Department of Neurology and Clinical Research Center of Neurological Disease, The Second Affiliated Hospital of Soochow University, Suzhou, 215004, China.

Insights

ADT-OH, a novel mitophagy inducer, protects against Parkinson's disease by clearing dysfunctional mitochondria in microglia. This reduces neuroinflammation and preserves dopaminergic neurons, offering therapeutic potential for neurodegeneration.

Area of Science:

  • Neuroscience
  • Cell Biology
  • Pharmacology

Background:

  • Mitochondrial dysfunction is a key factor in neurodegenerative diseases like Parkinson's disease (PD).
  • Mitophagy, the process of clearing damaged mitochondria, is a potential therapeutic target for neurodegeneration.
  • Existing mitophagy inducers are limited, highlighting the need for new agents.

Purpose of the Study:

  • To investigate the potential of ADT-OH, a hydrogen sulfide (H2S) releasing compound, as a mitophagy inducer in microglia.
  • To elucidate the mechanism by which ADT-OH induces mitophagy and its downstream effects on neuroinflammation.
  • To evaluate the therapeutic efficacy of ADT-OH in preclinical models of Parkinson's disease.

Main Methods:

  • Assessed mitophagy flux in microglia using mitochondrial marker proteins and live-cell imaging with mt-Keima.
  • Investigated the role of sulfide-quinone oxidoreductase (SQR) and PINK1-PARKIN signaling in ADT-OH-induced mitophagy.
  • Examined the impact of ADT-OH on mitochondrial dysfunction, mitochondrial DNA release, and cGAS-STING pathway activation in microglia challenged with alpha-synuclein.
  • Evaluated the in vivo efficacy of ADT-OH in an alpha-synuclein overexpression mouse model of Parkinson's disease.

Main Results:

  • ADT-OH treatment increased mitophagic flux in microglia, evidenced by reduced mitochondrial proteins, increased fission, and lysosomal engulfment.
  • The mitophagy-promoting effect of ADT-OH was dependent on SQR-mediated mitochondrial uncoupling and PINK1-PARKIN activation.
  • ADT-OH prevented mitochondrial dysfunction and DNA release in alpha-synuclein-challenged microglia, suppressing cGAS-STING pathway activation and neuroinflammation.
  • Systemic ADT-OH administration reduced microglial activation, protected dopaminergic neurons, and improved motor deficits in a PD mouse model.

Conclusions:

  • ADT-OH effectively induces mitophagy in microglia via SQR-dependent mitochondrial uncoupling and PINK1-PARKIN signaling.
  • ADT-OH mitigates alpha-synuclein-induced neuroinflammation by inhibiting mitochondrial dysfunction and the cGAS-STING pathway.
  • ADT-OH demonstrates significant neuroprotective effects in vitro and in vivo, positioning it as a promising therapeutic candidate for Parkinson's disease.